RT Book, Section
A1 Shah, Nirav J.
A1 Tremper, Kevin
A1 Kheterpal, Sachin
A2 Longnecker, David E.
A2 Brown, David L.
A2 Newman, Mark F.
A2 Zapol, Warren M.
SR Print(0)
ID 56629796
T1 Chapter 29. Perioperative Information Management Systems
T2 Anesthesiology, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-178513-6
LK accessanesthesiology.mhmedical.com/content.aspx?aid=56629796
RD 2024/04/23
AB Perioperative  information  management  systems  (PIMS)  are  software  systems  that  manage  the  documentation,  workflow,  and  charge  capture  of  the  operating  room  (OR)  environment.  PIMS  are  composed  of  two  main  components:  anesthesia  information  management  systems  (AIMS)  and  operating  room  management  information  systems  (ORMIS).AIMS  have  been  shown  to  improve  processes  of  care.  However,  the  expense  and  effort  of  implementing  these  systems  has  prevented  widespread  adoption.Point-of-care  software  and  hardware  are  available  in  many  different  forms.  Each  has  its  advantages  and  disadvantages.  Ultimately,  the  institutional  leaders  need  to  decide  on  the  best  fit  for  its  users.Functional  components  of  AIMS  include  automated  device  interfaces,  user-entered  documentation,  decision  support  capabilities,  charge  capture,  and  reporting  capabilities.Functional  components  of  ORMIS  include  clinical  documentation,  process  reporting,  OR  scheduling,  resource  management,  and  patient  tracking.AIMS  and  ORMIS  need  to  be  configurable  systems  to  account  for  changes  in  practice  patterns,  new  regulatory  requirements,  and  updates  in  medical  technology.AIMS  need  to  integrate  with  hospital-wide  electronic  medical  records  (EMRs).  The  anesthetic  record  needs  to  be  available  for  viewing  as  part  of  the  medical  record,  and  anesthesiologists  need  to  view  enterprise  patient  information  in  the  perioperative  environment  while  using  the  AIMS.Institutions  need  to  have  disaster  preparedness  strategies  including  data  redundancy  plans  to  account  for  failure  at  each  level  of  software  and  hardware  architecture.PIMS  vendors  will  continue  to  add  new  features  and  functionality  to  their  systems.  Exciting  opportunities  lie  in  the  standardization  of  content  and  ability  to  aggregate  and  analyze  large  amounts  of  clinical  data.